Active NPI
Lester Dierksen Memorial Hospice LLC
Doing business as Dierksen Hospice
- Community Based Hospice Care Agency
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LESTER DIERKSEN MEMORIAL HOSPICE LLC
- Doing business as
- Dierksen Hospice
- Practice address
- 3954 Central Ave Ste H
Hot Springs, AR 71913-7298 - Phone
- (501) 318-1500
- Fax
- (501) 318-1507
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3954 Central Ave Ste H
Hot Springs, AR 71913-7298
Mailing address
500 Faulconer Dr Ste 200
Charlottesville, VA 22903-5089
Phone (434) 977-9711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166706747 | Medicaid | AR | |
| AR5972 | Other | AR | STATE LICENSE |
Other names 1
- DIERKSEN HOSPICE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070911000154 | AR | Part A Provider - Hospice | 6103919915 |
1 other NPI on this enrollment Practice locations: Jonesboro, AR; Marion, AR; Hot Springs, AR |
Hospice certification: CCN 041575
- Legal name
- LESTER DIERKSEN MEMORIAL HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 13, 2007
- Last certification
- Dec 5, 2016
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jan 20, 2006 in AR
- Enrollment address
- 3954 Central Ave
Ste H
Hot Springs, AR 71913-7298
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Dierksen Hospice
- Community Based Hospice Care Agency
- Jonesboro, AR
- NPI 1033366794
O20070911000154
Care Compare: Hospice
Medicare Care Compare- Listed as
- Lester Dierksen Memorial Hospice, LLC
- Ownership
- For-Profit
- Certified
- Sep 13, 2007
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1066545 | Lester Dierksen Memorial Hospice LLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Dierksen Memorial Hospice
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dierksen Memorial Hospice
- Community Based Hospice Care Agency
- Jonesboro, AR
- NPI 1063795508
-
dba Dierksen Memorial Hospice
- Community Based Hospice Care Agency
- Jonesboro, AR
- NPI 1275814154
-
dba Dierksen Hospice
- Community Based Hospice Care Agency
- Jonesboro, AR
- NPI 1033366794
-
- Community Based Hospice Care Agency
- Hot Springs, AR
- NPI 1952558611
Locations
303 Bancario
Ste 101
Marion, AR 72364
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tina Haney | W-2 Managing Employee | Oct 6, 2020 | |
| THL Equity Fund VIII Investors (Hospice Care), L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 29.16% |
| Jesse Reo Moore | Corporate Officer | May 26, 2021 | |
| W-2 Managing Employee | May 26, 2021 | ||
| Care Hospice, Inc. | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 100% |
| Thomas H. Lee Equity Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 15.07% |
| Thomas H. Lee Parallel Fund VIII, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 27.44% |
| Care Hospice Acquisition, Inc. | 5% Or Greater Indirect Ownership Interest | Apr 13, 2017 | 100% |
| Hospice Care Buyer, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | |
| Hospice Care Holdings, L.P. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Bart K Valdez | Corporate Officer | Jan 6, 2025 | |
| W-2 Managing Employee | Jan 6, 2025 | ||
| Douglas Maglothin | Contracted Managing Employee | May 1, 2019 | |
| Hospice Care Intermediate I, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Grant Brown | Corporate Officer | Dec 10, 2021 | |
| W-2 Managing Employee | Apr 13, 2017 | ||
| John B Hunter | 5% Or Greater Indirect Ownership Interest | Apr 13, 2017 | 9.42% |
| Hospice Care Intermediate II, Inc. | 5% Or Greater Indirect Ownership Interest | Dec 9, 2020 | 100% |
| Dana K Reid | Corporate Officer | Jan 4, 2025 | |
| W-2 Managing Employee | Jan 4, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1104887215
Contracted Managing Employee
Facilities with the same owner 38
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Dierksen Hospice
- Community Based Hospice Care Agency
- Texarkana, AR
- NPI 1104088632
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Sanctuary Hospice
- Community Based Hospice Care Agency
- Mason, OH
- NPI 1942720388
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Sanctuary Hospice
- Community Based Hospice Care Agency
- Canfield, OH
- NPI 1952692543
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Hospice of Florida
- Community Based Hospice Care Agency
- Jacksonville, FL
- NPI 1376240788
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Crescent Hospice
- Community Based Hospice Care Agency
- Augusta, GA
- NPI 1043303753
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Alpha Omega Hospice
- Community Based Hospice Care Agency
- Weatherford, TX
- NPI 1972611143
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- Marlborough, MA
- NPI 1730361742
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Brookhaven Hospice
- Community Based Hospice Care Agency
- Bedford, NH
- NPI 1689981193
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Legacy Hospice
- Community Based Hospice Care Agency
- Charlottesville, VA
- NPI 1740430263
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Continuum Hospice
- Community Based Hospice Care Agency
- Concord, CA
- NPI 1467859900
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
dba Continuum Care
- Community Based Hospice Care Agency
- Fall River, MA
- NPI 1134688575
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
-
- Community Based Hospice Care Agency
- West Warwick, RI
- NPI 1164948220
Care Hospice Acquisition, Inc., Care Hospice, Inc., Hospice Care Buyer, Inc., Hospice Care Holdings, L.P., Hospice Care Intermediate I, Inc., Hospice Care Intermediate II, Inc., THL Equity Fund VIII Investors (Hospice Care), L.P., Thomas H. Lee Equ
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Weiner, AR
- NPI 1013105410
Affiliated clinicians 9
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1730216359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAULCONER DR STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229035089",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3954 CENTRAL AVE STE H",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719137298",
"telephone_number": "501-318-1500",
"fax_number": "501-318-1507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESTER DIERKSEN MEMORIAL HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166706747",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AR5972",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "DIERKSEN HOSPICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.